Individual provider Active NPI

Ulrika Magdalena Agnew, MD

  • Emergency Medicine Physician
  • Portland, OR
National Provider Identifier
1598296394
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD61088552 Issued in WA
Practice address
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3098
Phone
(503) 494-8211
NPI assigned
Mar 23, 2017
Last updated
Aug 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD61088552 WA Primary
Addiction Medicine (Family Medicine) Physician 207QA0401X MD61088552 WA
Addiction Medicine (Family Medicine) Physician 207QA0401X MD197384 OR

Addresses

Primary practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3098

Mailing address

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3098

Other practice location 1

3400 Main St
Vancouver, WA 98663-2223
Phone (360) 969-5232

Other practice location 2

20900 Biscayne Blvd
Aventura, FL 33180-1407
Phone (305) 692-3392

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR, OH, CO4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20210407002526 WA Practitioner - Emergency MedicinePractitioner - Addiction Medicine 3678980729 Reassigns benefits to 4 organizations
I20220927001853 OR Practitioner - Emergency MedicinePractitioner - Addiction Medicine 3678980729 Reassigns benefits to 2 organizations
I20220930002343 OH Practitioner - Addiction Medicine 3678980729 Reassigns benefits to 1 organization
I20230202000715 CO Practitioner - Addiction Medicine 3678980729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Addiction Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

725 S Wahanna Rd
Seaside, OR 97138-7735
Phone (503) 717-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.13 of 100Reported as group
Quality
85.82
Improvement activities
40
Cost
56.48

Merit-based Incentive Payment System (MIPS)

Final score
89.44 of 100Reported as group
Quality
87
Promoting interoperability
100
Improvement activities
40
Cost
73.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD61088552WAMDEmergency Medicine Physician
MD197384ORMDAddiction Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sunnyside Emergency Group a Professional LLC Emergency Medicine CurrentSince Jun 11, 2022 Accepting new patients
Providence Health & Services Oregon Emergency Medicine CurrentSince Jul 1, 2023 Accepting new patients
Olney Emergency Group, a Professional LLC Emergency Medicine CurrentSince Feb 28, 2021 Accepting new patients
Providence Health & Services Oregon CurrentSince Jul 1, 2023 Accepting new patients
Boulder Care Provider Group PA Addiction Medicine CurrentSince Sep 1, 2022 Accepting new patients
Providence Health & Services Oregon CurrentSince Jul 1, 2023 Accepting new patients

Locations

1109 Oak Park Dr
Ste 125
Fort Collins, CO 80525

20046 Walker Rd
Ste 7
Shaker Heights, OH 44122
Phone (503) 208-5061

111 SW Naito Pkwy
Ste 200
Portland, OR 97204
Phone (503) 208-5061

725 S Wahanna Rd
Seaside, OR 97138
Phone (503) 717-7000

1016 Tacoma Ave
Sunnyside, WA 98944
Phone (509) 823-6682

502 W 4th Ave
Toppenish, WA 98948
Phone (509) 575-5000

915 Broadway St
Ste 137
Vancouver, WA 98660
Phone (503) 208-5061

Interoperability endpoints

  • Direct secure messaging: uagnew482585@direct.peacehealth.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1598296394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393098",
            "telephone_number": "503-494-8211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 Main St",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986632223",
            "country_code": "US",
            "telephone_number": "360-969-5232",
            "fax_number": "360-696-5228",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20900 Biscayne Blvd",
            "address_purpose": "LOCATION",
            "city": "Aventura",
            "state": "FL",
            "postal_code": "331801407",
            "country_code": "US",
            "telephone_number": "305-692-3392",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGNEW",
        "first_name": "ULRIKA",
        "middle_name": "MAGDALENA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-23",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "MD61088552",
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "WA",
            "license": "MD61088552",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "OR",
            "license": "MD197384",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.